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General NPI Number Information
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NPI Number | 1881031797
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Entity Type | Organization
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Legal Business Name | LIFE MATTERS COUNSELING, LLC
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Dates
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Enumeration Date | 05/31/2013
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Last Update Date | 05/31/2013
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Provider Practice Location Address
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Address Line | 802 W BROADWAY STE 203B
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City | MONONA
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State | WI
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Zip | 53713-1891
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Country | US
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Telephone | 608-338-3540
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Fax |
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Provider Business Mailing Address
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Address Line | 802 W BROADWAY STE 203B
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City | MONONA
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State | WI
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Zip | 53713-1891
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED THERAPIST/OWNER
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Name | MR. BRIAN BERNINGER
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Credential | M.A,, LPC
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Telephone | 608-338-3540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4728125
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License Number State | WI
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